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  1. A work-related injury or illness, no matter how slight, must be reported immediately to your supervisor, who will work with you to complete an Injury/Incident Report Form. The completed form must be delivered to and/or faxed to the Employment Services department at 651-696-6612 for processing in a timely manner. The College reserves the right to request satisfactory medical evidence to support the report of injury.
  2. A completed Report of Workability Form must be returned to both the supervisor and Employment Services by fax at 651-696-6612 following each visit to a treating clinician.


Related Benefit Forms

Provider Information

Travelers Companies, Inc.
Fax: 877-389-4682

Workers’ Compensation Claim Department
P.O. Box 2928
Overland Park, KS 66201-1328